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KMID : 1037520230390020010
Vascular Specialist International
2023 Volume.39 No. 2 p.10 ~ p.10
Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female
Ryo Okubo

Shinsuke Kikuchi
Norifumi Otani
Masahiro Tsutsui
Hiroyuki Kamiya
Abstract
Superior mesenteric artery (SMA) aneurysms (SMAAs) are rare and account for approximately 7% of all visceral artery aneurysms. If the anatomical complexity permits and the patency of organ perfusion is allowed, then an endovascular approach is the first choice for minimally invasive procedures. We report the case of a 92-year-old female with a giant SMAA and challenging anatomy, including a short proximal sealing zone from the origin of the SMA and a short distal sealing zone from the hepatic artery bifurcation. In view of her advanced age, she was treated endovascularly with covered stents. Reintervention was required to correct a postoperative endoleak; however, a favorable outcome was achieved with endovascular therapy.
KEYWORD
Superior mesenteric artery aneurysm, Visceral artery aneurysm, Endovascular treatment
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